Chan, David L.

Chan, David L. is an individual health care provider with primary practice located at 2050 W 4Th St , Mansfield OH 44906-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chan, David L. can be contacted via phone (419) 747-2426.

Contact Information

Primary practice address
2050 W 4Th St Mansfield OH 44906-1711
Phone: (419) 747-2426
Fax: (419) 747-1331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35043775 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101030341 Virginia

Profile Details

NPI number 1649207457
LBN Legal business name Chan, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649207457 NPPES
Ohio MEDICAID 0417847

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